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Presented By- HaRsHiT SaInI
ANATOMY –:
The eyelid are mobile tissue curtains placed in front of the eyeball. These act
as a shutter protecting the eye from injuries and excessive light.
Layer of eyelid-
 Skin
 Layer of subcutaneous areolar tissue
 Layer of striated muscles
 Submuscular areolar Tissues
 Fibrous layer
 Layer of Non-striated muscle fibre
 Counjuctiva
GLAND OF EYELID -:
Meibomian gland, Gland of zeis and Gland of moll
 Accessory Lacrimal Gland, Gland of Krause and wolfing
 Goblet cell, crypt of Henle and Gland of manz
DISEASES OF EYELID -:
 Chalazion- A Chalazion occurs when the opening of oil producting gland in
the eyelid become clogged.
Sign and SyMpToms-
 Painless swelling in the eyelid
 Swelling of the membrane that covers the surface of the eye and inner surface
of the eyelid
 Blurred vision
 Red or Grey area on the inside of eyelid
TREATMENT OF CHALAZION-:
1- Conservatively Treatment- More than 50% of chalazion resolve with this treatment. Warm compression with a wet face
cloth 5-6 time in a day (5-5 min)
2- Medical Treatment- I/v Injection (Avoid)
>Trimcinolone steroid
3- Surgical Treatment -
HORDEOLUM -:
There is 2 types of Hordeolum :-
1- Internal Hordeolum
2- External Hordeolum
It is an information of glands of eyelid. The Infection is most often caused by
bacteria call "Staphylococcus Aureus“
1- Internal Hordeolum :- It is a suppurative inflammation of
the Meibomian gland
2- External Hordeolum :- It is an acute suppurative
inflammation of gland of Zeis and moll.
SIGN AND SYMPTOMS :-
Eyelid Redness
 Puffy Eyes
Eyelid pain
Lump on the eyelid
Mild watering
Photophobia
TREATMENT -:
Hot compression 2-3 times in a day are very useful
Antibiotic eyedrops ( 3-4 times in a day)
Systemic Antibiotics
Eye Ointment (at bed time)
BLEPHRITIS :-
Blephritis is inflammation of the eyelid. It is chronic
inflammation of the lid margin.
These are two types :-
1 - Anterior Blephritis
 Ulcerative Blephritis
squamous blephritis
2 - Posterior Blepharitis
ULCERATIVE BLEPHRITIS -:
Inflammation in gland of Zeis and moll. Appears hard yellow crust
around the eyelashes that when removed, leave small sores that
bleed.
Clinical features - :
Itching
Irritation
Mild discomfort
Gluing of cilia
Yellow colour crest at the lid margin
Complications –:
Madarosis
Trichiasis
Poliosis
(2) Squamous Blephritis :- It is usually
associated with seborrhoea of scalp
(Dandruff)
SIGN AND SYMPTOMS :-
Symptoms :-
Disposition of whitish material at lid margin
Mild discomfort
Irritation
Watering
Falling of Eyelashes
Sign - :
 White Dandruff like scales are seen on lid margin.
There is no ulcer removing these scales
TREATMENT -:
Eyelid Hygean (Baby shampoo lotion)
Antibiotic (ointment)
Oral Antibiotic
Oral Inflammatory drugs
POSTERIOR BLEPHARITIS :-
Inflammation in meibomian
gland.Posterior blepharitis can occur when
the gland of the eyelid irregularly produce
oil.Meibomian Blephritis (Hyper secretion
of Lipid)
SIGN AND SYMPTOMS :-
Symptoms -:
Watering
Redness
Excessive burning in the eye
Red swelled eye
Sign :-
Fat Globules on the lid margin
Oedema around the eye.
TREATMENT -:
Eyelid
 HygieneTropical Steroids
Anti Inflammatory drugs
Eye drops or ointment
THE END
Thanks

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Diseases of eyelid

  • 2. ANATOMY –: The eyelid are mobile tissue curtains placed in front of the eyeball. These act as a shutter protecting the eye from injuries and excessive light. Layer of eyelid-  Skin  Layer of subcutaneous areolar tissue  Layer of striated muscles  Submuscular areolar Tissues  Fibrous layer  Layer of Non-striated muscle fibre  Counjuctiva
  • 3. GLAND OF EYELID -: Meibomian gland, Gland of zeis and Gland of moll  Accessory Lacrimal Gland, Gland of Krause and wolfing  Goblet cell, crypt of Henle and Gland of manz
  • 4. DISEASES OF EYELID -:  Chalazion- A Chalazion occurs when the opening of oil producting gland in the eyelid become clogged. Sign and SyMpToms-  Painless swelling in the eyelid  Swelling of the membrane that covers the surface of the eye and inner surface of the eyelid  Blurred vision  Red or Grey area on the inside of eyelid
  • 5. TREATMENT OF CHALAZION-: 1- Conservatively Treatment- More than 50% of chalazion resolve with this treatment. Warm compression with a wet face cloth 5-6 time in a day (5-5 min) 2- Medical Treatment- I/v Injection (Avoid) >Trimcinolone steroid 3- Surgical Treatment -
  • 6. HORDEOLUM -: There is 2 types of Hordeolum :- 1- Internal Hordeolum 2- External Hordeolum It is an information of glands of eyelid. The Infection is most often caused by bacteria call "Staphylococcus Aureus“
  • 7. 1- Internal Hordeolum :- It is a suppurative inflammation of the Meibomian gland 2- External Hordeolum :- It is an acute suppurative inflammation of gland of Zeis and moll.
  • 8. SIGN AND SYMPTOMS :- Eyelid Redness  Puffy Eyes Eyelid pain Lump on the eyelid Mild watering Photophobia
  • 9. TREATMENT -: Hot compression 2-3 times in a day are very useful Antibiotic eyedrops ( 3-4 times in a day) Systemic Antibiotics Eye Ointment (at bed time)
  • 10. BLEPHRITIS :- Blephritis is inflammation of the eyelid. It is chronic inflammation of the lid margin. These are two types :- 1 - Anterior Blephritis  Ulcerative Blephritis squamous blephritis 2 - Posterior Blepharitis
  • 11. ULCERATIVE BLEPHRITIS -: Inflammation in gland of Zeis and moll. Appears hard yellow crust around the eyelashes that when removed, leave small sores that bleed. Clinical features - : Itching Irritation Mild discomfort Gluing of cilia Yellow colour crest at the lid margin
  • 12. Complications –: Madarosis Trichiasis Poliosis (2) Squamous Blephritis :- It is usually associated with seborrhoea of scalp (Dandruff)
  • 13. SIGN AND SYMPTOMS :- Symptoms :- Disposition of whitish material at lid margin Mild discomfort Irritation Watering Falling of Eyelashes Sign - :  White Dandruff like scales are seen on lid margin. There is no ulcer removing these scales
  • 14. TREATMENT -: Eyelid Hygean (Baby shampoo lotion) Antibiotic (ointment) Oral Antibiotic Oral Inflammatory drugs
  • 15. POSTERIOR BLEPHARITIS :- Inflammation in meibomian gland.Posterior blepharitis can occur when the gland of the eyelid irregularly produce oil.Meibomian Blephritis (Hyper secretion of Lipid)
  • 16. SIGN AND SYMPTOMS :- Symptoms -: Watering Redness Excessive burning in the eye Red swelled eye Sign :- Fat Globules on the lid margin Oedema around the eye.
  • 17. TREATMENT -: Eyelid  HygieneTropical Steroids Anti Inflammatory drugs Eye drops or ointment